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Viruses ; 13(12)2021 12 02.
Article in English | MEDLINE | ID: mdl-34960679

ABSTRACT

At Bristol-Myers (BM) (1985-1990), John C. Martin started his HIV career with directing the clinical development of didanosine (ddI) and stavudine (d4T). During this period, he became aware of the acyclic nucleoside phosphonates (ANPs), such as (S)-HPMPA and PMEA, as potential antiviral drugs. Under his impulse, BM got involved in the evaluation of these ANPs, but the merger of BM with Squibb (to become BMS) incited John to leave BM and join Gilead Sciences, and the portfolio of the ANPs followed the transition. At Gilead, John succeeded in obtaining the approval from the US FDA for the use of cidofovir in the treatment of cytomegalovirus (CMV) retinitis in AIDS patients, which was reminiscent of John's first experience with ganciclovir (at Syntex) as an anti-CMV agent. At Gilead, John would then engineer the development of tenofovir, first as TDF (tenofovir disoproxil fumarate) and then as TAF (tenofovir alafenamide) and various combinations thereof, for the treatment of HIV infections (i), TDF and TAF for the treatment of hepatitis B (HBV) infections (ii), and TDF and TAF in combination with emtricitabine for the prophylaxis of HIV infections (iii).


Subject(s)
Anti-HIV Agents/therapeutic use , HIV Infections/drug therapy , Tenofovir/therapeutic use , Alanine/therapeutic use , Anti-HIV Agents/history , Drug Therapy, Combination , Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination/history , Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination/therapeutic use , HIV/drug effects , HIV Infections/history , HIV Infections/prevention & control , Hepatitis B/drug therapy , History, 20th Century , History, 21st Century , Humans , Pre-Exposure Prophylaxis , Reverse Transcriptase Inhibitors/history , Reverse Transcriptase Inhibitors/therapeutic use , Tenofovir/analogs & derivatives , Tenofovir/history
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